Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $3,633.00 / $8,920.00	Facility		$541.20	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.78 / $541.20 / $672.83	Professional		$435.78	$541.20	$672.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.46 / $572.21 / $808.87	Professional		$447.46	$572.21	$808.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $471.43 / $1,820.53	Professional		$471.43	$471.43	$1,820.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $1,356.00 / $3,282.37	Facility		$554.52	$1,356.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.12 / $602.96 / $1,021.12	Professional		$438.12	$602.96	$1,021.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.59 / $585.49 / $798.39	Professional		$471.59	$585.49	$798.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $500.66 / $634.76 / $896.91	Facility		$500.66	$634.76	$896.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $683.00 / $1,144.32	Professional		$595.00	$683.00	$1,144.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $488.28 / $601.51 / $1,123.04	Facility		$488.28	$601.51	$1,123.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $488.28 / $601.51 / $1,123.04	Professional		$488.28	$601.51	$1,123.04
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.13 / $582.10 / $908.50	Professional		$383.13	$582.10	$908.50